Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Sun, Dec 22, 2024
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Volume 38, Issue 1 (1-2024)
Med J Islam Repub Iran 2024 |
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Rajaie S, Azari S, Karimi F. Defensive Medicine and Healthcare Costs: A Scoping Review. Med J Islam Repub Iran 2024; 38 (1) :854-861
URL: http://mjiri.iums.ac.ir/article-1-9317-en.html
URL: http://mjiri.iums.ac.ir/article-1-9317-en.html
Research Center for Emergency and Disaster Resilience, Red Crescent Society of the Islamic Republic of Iran, Tehran, Iran , fereshtek69@gmail.com
Abstract: (216 Views)
Background: Defensive medicine (DM) refers to any medical examination or treatment performed primarily to shield the physician from potential negligence or medical malpractice claims. DM has several negative consequences: rising healthcare costs, diminishing the quality of healthcare delivery, and lowering job satisfaction among physicians. This study presents available evidence through a scoping review of research focused on DM and healthcare costs.
Methods: The scoping review method was employed in this study. All articles pertaining to DM from 2000 to 2023 were examined in relevant databases using appropriate keywords. Thematic analysis and MAXQDA software were utilized for data analysis.
Results: A total of 29 articles were examined in this study. The studies were published between 2006 and 2022 and were distributed as follows: 18 studies in the United States, 3 studies in Italy, and 1 study each in Jordan, China, Kenya, the UK, India, Belgium, Austria, and Australia. Based on the study questions, the findings were subsequently categorized into 3 main groups: (1) DM and standard of care; (2) DM and healthcare demands; and (3) DM and healthcare costs.
Conclusion: DM has become a common issue in the healthcare system and has caused complications for patients and doctors. Studies show that DM has increased direct and indirect costs for the healthcare system. It is suggested that more studies be conducted to estimate the costs of DM, especially in countries with limited health resources.
Methods: The scoping review method was employed in this study. All articles pertaining to DM from 2000 to 2023 were examined in relevant databases using appropriate keywords. Thematic analysis and MAXQDA software were utilized for data analysis.
Results: A total of 29 articles were examined in this study. The studies were published between 2006 and 2022 and were distributed as follows: 18 studies in the United States, 3 studies in Italy, and 1 study each in Jordan, China, Kenya, the UK, India, Belgium, Austria, and Australia. Based on the study questions, the findings were subsequently categorized into 3 main groups: (1) DM and standard of care; (2) DM and healthcare demands; and (3) DM and healthcare costs.
Conclusion: DM has become a common issue in the healthcare system and has caused complications for patients and doctors. Studies show that DM has increased direct and indirect costs for the healthcare system. It is suggested that more studies be conducted to estimate the costs of DM, especially in countries with limited health resources.
Type of Study: Review Article |
Subject:
Health Management and Economics
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